Individual provider · Type 1 NPI
Jordan Jacobs, RN
Plastic Surgery Registered Nurse · Nyack, NY
NPI number
1114527157
Active
Practice location
1136 Route 9W S
Nyack, NY 10960-4826
Mailing address
PO Box 233
Nyack, NY 10960-0233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Registered Nurse Primary | 163WS0121X | 717202 (NY) |
Plastic Surgery Registered Nurse: Definition to come...
About NPI 1114527157
Jordan Jacobs, RN's National Provider Identifier is 1114527157, issued on Oct 29, 2020. The primary taxonomy on file is Plastic Surgery Registered Nurse (163WS0121X), and the practice location is in Nyack, NY. The record was last updated on Oct 29, 2020.